Advancing Preventive Interventions for Pregnant Women Who Are Opioid Using via the Integration of Addiction and Mental Health Research

Kristen L. Mackiewicz Seghete, Alice M. Graham, Taylor M. Shank, Shelby L. Alsup, Philip A. Fisher, Anna C. Wilson, Sarah W. Feldstein Ewing

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: This review examines how research focused on treatment for opioid use in perinatal populations and preventive interventions for postpartum psychopathology have remained separate, despite significant overlap. Recent Findings: Guidelines for best practice in caring for pregnant women with opioid use disorder suggest the use of medication-assisted treatment with additional comprehensive care, including behavioral and mental health interventions. However, intervention research often mutually excludes these two populations, with studies of behavioral interventions for opioid use excluding women with psychopathology and research on preventive interventions for postpartum psychopathology excluding women who are substance using. Summary: There is a limited evidence-base to inform the selection of appropriate preventive interventions for pregnant women with opioid use disorder that can address opioid use and/or treatment adherence and concurrent mental health risks. We argue that it is critical to integrate research on pregnant women who are opioid using and preventive perinatal mental health interventions to catalyze pivotal change in how we address the opioid epidemic within this growing population.

Original languageEnglish (US)
Pages (from-to)61-67
Number of pages7
JournalCurrent Addiction Reports
Volume7
Issue number1
DOIs
StatePublished - Mar 1 2020

Keywords

  • Opioid use
  • Opioid use disorder
  • Perinatal mental health
  • Postpartum mental health
  • Pregnancy

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

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